Maranatha Family Company LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARANATHA FAMILY COMPANY LLC

Doing business as

Maranatha Pediatrics

Practice address

341 S 28TH St
Clinton, OK 73601-3701

Phone

(580) 323-8747

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ejeehi Umobuarie, MDNPI 1154633535

Title

Member

Phone

(908) 887-2724

Specialties & licenses 1

Addresses

Other names 1

• MARANATHA PEDIATRICS Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ejeehi Umobuarie, M.D

  • Pediatrics Physician
  • Clinton, OK
  • NPI 1154633535
  Medicare reassignment NPD Authorized official
• Nicole Marie Wedel, FNP-C

  • Family Nurse Practitioner
  • Weatherford, OK
  • NPI 1053016642
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1609584978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 SUNUP DR",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736012905",
            "telephone_number": "908-887-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 S 28TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013701",
            "telephone_number": "580-323-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA FAMILY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "UMOBUARIE",
        "authorized_official_first_name": "EJEEHI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-887-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARANATHA PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Lynn Lynch, LPN
• M. Patrick Day, OD, a Professional Corporation (Clinton Vision Source)
• Derek Makes Cry, D.C.
• Belinda Ann Maldonado, M.ED.
• Mark Blaine Mann, M.D.
• Mark Mann, M.D., P.C.
• Debra Kaye Marlett-Campbell, LCSW
• Jessica Elizabeth McAdams-Kaufman
• Michelle D McCurdy
• Ernest J McKenzie, MD

• Pediatrics Physician in Clinton, OK
• Providers in Clinton, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.